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"An engineer with extensive experiences at three medical device startups seeking admission to xx MBA program to further career in healthcare and entrepreneurship."

I am not sure if it is really necessary and helpful. What do you guys think?

I think it's unnecessary. You're stating why you want to go to the school in your career goals essay. No need to be repetitive. Save that space for all of the professional and academic accomplishments you need to include in the resume.
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I was thinking since the interviewer will only have my resume, it is helpful to have a short summary. Plus, it is not obvious that the companies are startups.

No problem. FYI, I'm a woman.

As for explaining your companies are startups simply put a description next to the company title (i.e. Technology startup specializing in iPhone apps, $10MM annual revenue, 25 employees). Takes up no additional lines in the resume, unlike a summary. HTH.
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I was thinking since the interviewer will only have my resume, it is helpful to have a short summary. Plus, it is not obvious that the companies are startups.

No problem. FYI, I'm a woman.

As for explaining your companies are startups simply put a description next to the company title (i.e. Technology startup specializing in iPhone apps, $10MM annual revenue, 25 employees). Takes up no additional lines in the resume, unlike a summary. HTH.